Individual
MRS. DANIELLE MARIE SHIVERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11539 PARK WOODS CIR, SUITE 502, ALPHARETTA, GA 30005-4413
(678) 527-3224
(678) 366-5886
Mailing address
11539 PARK WOODS CIR, SUITE 502, ALPHARETTA, GA 30005-4413
(678) 527-3224
(678) 366-5886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162689A
—
GA
Enumeration date
06/25/2010
Last updated
09/29/2015
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